Individual
BLAKE SOWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 587-1260
Mailing address
16482 STATE HIGHWAY 136, LA JARA, CO 81140-9473
(195) 804-5707
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17096
CO
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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